| Eighteen months after the terrorist attacks of 9 | | | | as all U.S. Air Force missile launch facilities, are |
| 11, America's healthcare leadership announced that | | | | located in rural areas and are potential targets for |
| while they had not been ready on September 11, | | | | attack. Additionally, if individuals with infectious |
| 2001, now they were. On March 13, 2003, in a | | | | diseases, such as smallpox, enter the country |
| much ballyhooed statement, still sited to this day, | | | | through Canadian or Mexican borders, rural |
| the American College of Healthcare Executives | | | | providers may be the first to identify the threat." |
| announced: | | | | A Problem of Their Own Making |
| "HOSPITAL CEOs SAY BIOTERRORISM PLANS | | | | The greatest indictment of hospitals by the |
| ARE IN PLACE CHICAGO | | | | Institute of Medicine Reports however dealt with |
| Since September 11, 2001, hospitals have faced | | | | disaster preparedness training and drills finding |
| new challenges protecting and caring for their | | | | great variability in the training of even key |
| communities, especially the threat of bioterrorism. | | | | healthcare personnel with even less training for |
| According to a new survey conducted by the | | | | non-clinical hospital staff. |
| American College of Healthcare Executives | | | | "Serious clinical and operational deficiencies, |
| (ACHE), 84 percent of hospital CEOs agree that | | | | fragmentation, and lack of standardization exist |
| since 9/11, their hospitals have worked more | | | | across a broad spectrum of key professional |
| closely with public agencies (e.g. fire, police, and | | | | personnel (nurses, physicians, ancillary care |
| public health departments). Further, 95 percent of | | | | providers, administrators, and public health officials) |
| the respondents said their hospitals already have, | | | | in both individual training and coordination of a |
| or within six months will have, a bioterrorism | | | | team response." |
| disaster plan in place, developed in coordination | | | | This failure to provide training not only effects |
| with local emergency or health agencies." | | | | patient care, but hospital employee safety. |
| Little did they know the sense of false security | | | | Despite public statements by hospitals that |
| and the cooling of momentum this assertion would | | | | "safety is worth the cost" and "preparedness is |
| cause from that day forward. | | | | priceless" The American College of Emergency |
| The Clear View of Reality | | | | Physicians (ACEP) and the Agency for Healthcare |
| Since 2003, multiple independent evaluations of | | | | Quality and Research (AHQR) separately found a |
| hospital preparedness and hospital disaster planning | | | | very different financial and leadership commitment |
| have found the reality in each successive year to | | | | to preparedness and training. |
| be far below that purported in 2003. A brief | | | | "Many hospitals report inadequate funding to |
| survey three reports by the Institutes of Medicine | | | | cover the attendance costs (e.g., time off, tuition, |
| in June, 2006 serve as proof that any hint of | | | | travel) of training (ACEP, 2001). At the University |
| hospital preparedness is false and that momentum | | | | of Pittsburgh Medical Center, a disaster drill in the |
| towards preparedness has been lost. These | | | | Emergency Department costs $3,000 per hour in |
| reports, Hospital-Based Emergency Care: At the | | | | staff salaries alone (AHRQ, 2004)." |
| Breaking Point, Emergency Care for Children: | | | | "Additionally, the failure of hospital administrators |
| Growing Pains, and Emergency Medical Services at | | | | or Emergency Department personnel to recognize |
| the Crossroads found a disparity between self | | | | the importance of training can result in a lack of |
| reported preparedness on multiple association and | | | | support (ACEP, 2001)." |
| government surveys compared to actual | | | | Multiple agencies, including the Institutes of |
| preparedness measured across the five core | | | | Medicine have called for an increased coordinated |
| indicators of hospital preparedness. | | | | financial commitment to preparedness on the part |
| "Evaluations of ED disaster preparedness | | | | of individual hospitals, hospital corporations, hospital |
| consistently yield the same finding: EDs are better | | | | management / holding companies, as well as local, |
| prepared than they used to be, but still fall short | | | | state and federal governments. |
| of where they should be" | | | | "This lack of coordination is reflected in the |
| At first blush, this seems to confirm the ACHE | | | | haphazard funding of preparedness initiatives. EMS |
| assertions, but the report goes on to point out | | | | and trauma systems have consistently been |
| that hospitals lack patient surge capacity due to | | | | underfunded relative to their presence and role in |
| cost related downsizing, nursing shortages, loss of | | | | the field." |
| specialists, physical space constrains and | | | | "States and communities should play an important |
| overcrowding. Failures of planning and coordination | | | | role in determining how they will prepare for |
| were also identified and linked to erroneous | | | | emergencies. To the extent that they are |
| planning assumptions. | | | | supported in this effort through federal |
| "When a disaster occurs, the normal operating | | | | preparedness grants, the critical role and |
| assumptions about patients, responses, and | | | | vulnerabilities of hospitals must be more widely |
| treatments often must be jettisoned. Depending | | | | acknowledged, and the particular needs of |
| on the type of event, some of the nonroutine | | | | hospitals and hospital personnel must be taken |
| things that can happen include the following: | | | | explicitly into account" |
| · Victims who are less injured and mobile | | | | Despite this, funding for preparedness has |
| will often self-transport to the nearest hospitals, | | | | decreased across the board including congressional |
| quickly overwhelming those facilities. | | | | cuts in healthcare preparedness funding for 2007, |
| · Casualties are likely to bypass on-site | | | | 2008 and again for 2009. These cuts have been |
| triage, first aid, and decontamination stations. | | | | mirrored in state funding initiatives; meanwhile |
| · EMS responders will often self-dispatch. | | | | hospitals continue to believe that they are |
| Providers from other jurisdictions may appear at | | | | prepared despite evidence to the contrary. |
| the scene and transport patients, sometimes | | | | So What Should They Say Today? |
| without coordination or communication with local | | | | Given these realities leaders in the field of |
| officials. | | | | healthcare and hospital management must now |
| · In some cases, local facilities are not | | | | confront the fact that self reporting on |
| aware of the event until or just before patients | | | | preparedness is a failed method, no different than |
| start arriving. Hospitals may receive no advance | | | | asking a 10 year old to grade their own final |
| notice of the extent of the event or the numbers | | | | exam. With the curtain pulled back it is time for |
| and types of patients they can expect. | | | | healthcare and hospitals to say: |
| · There may be little or no communication | | | | "It is our corporate and personal responsibility to |
| among regional hospitals, incident commanders, | | | | ensure the safety and preparedness of our entire |
| public safety, and EMS responders to coordinate | | | | staff, clinical and non-clinical as well as prepare to |
| the response region wide." | | | | respond to the needs of the patients we serve |
| The Institute of Medicine reports goes on to call | | | | every day and the patients we will serve when |
| for improved communications and integration | | | | disaster strikes." |
| across disaster response services including | | | | The problem is that healthcare and hospital |
| Emergency Medical Services (EMS), community | | | | leaders have done everything in their power to |
| emergency operations and most importantly the | | | | quietly avoid the need to make this statement |
| implementation of the standardized Incident | | | | much less bring this statement into reality. In the |
| Command System. | | | | two years since the Institutes of Medicine |
| "To respond effectively, hospitals must interface | | | | published their reports, hospitals have lobbied first |
| with incident command at multiple levels and be | | | | to delay and forestall the deadlines for both Joint |
| prepared to deal with transitions between levels, | | | | Commission preparedness guidelines and National |
| for example, when incident command shifts from | | | | Incident Management System (NIMS) compliance |
| the local to the state or federal level. Each hospital | | | | elements. The effect of this has been to make |
| should be familiar with the local office of | | | | such things as facility beautification a higher |
| emergency preparedness and know how hospitals | | | | financial priority than facility preparedness. |
| are represented at the emergency operations | | | | What is Needed? |
| center during an event, whether through the | | | | While the Institutes of Medicine and many other |
| hospital association, the health department, the | | | | organizations have made recommendations to |
| EMS system, or some other mechanism." | | | | improve hospital disaster preparedness, the sad |
| They Didn't Think of That Either | | | | fact is that the only way to force hospitals to |
| Beyond the problems common to all disaster care | | | | properly and adequately prepare is to enforce the |
| environments, special needs populations (children, | | | | existing guidelines, mandate meaningful external |
| elderly, mentally and physically challenged) have | | | | certification of compliance and engage the public in |
| needs and preparedness issues unique to them. | | | | demanding local hospitals "just do it." There is an |
| Unfortunately, the "one size fits none" approach | | | | old adage in healthcare law: |
| taken by America's hospitals has ignored issues | | | | "No change in healthcare has ever come without |
| highlighted by the Institutes of Medicine | | | | regulation, legislation or litigation." |
| Emergency Care for Children: Growing Pains | | | | Enforcement of existing guidelines will require that |
| report. | | | | the applicable government agencies including the |
| "The needs of children have traditionally been | | | | Department of Homeland Security, FEMA, the |
| overlooked in disaster planning. Historically, the | | | | Department of Justice, the Department of Health |
| military was considered the only target of | | | | and Human Services and the Center for Medicare |
| potential biological, chemical, and radiological | | | | Services mandate full and complete NIMS |
| attacks, so the focus for training, equipment, and | | | | compliance by the original September 30, 2008 |
| facilities was on the care of healthy young adults." | | | | deadline. Further, these agencies must be willing to |
| "Younger patients require specialized equipment | | | | use the full force of law to induce hospitals to |
| and different approaches to treatment in the | | | | invest in preparedness rather than pianos and |
| event of a disaster. Children cannot be properly | | | | fountains. Federal preparedness legislation carries |
| decontaminated in adult decontamination units | | | | with it implications of Medicare fraud, |
| because they require adjustments to the water | | | | Sarbanes-Oxley violations and federal false claims |
| temperature and pressure (heated, high-volume, | | | | issues. It is an unfortunate reality that |
| low-pressure water). Rescuers also need to have | | | | government must all too often prosecute to |
| child-size clothing on-hand for use after the | | | | create compliance. |
| decontamination." | | | | The private sector has a responsibility to enforce |
| The problems are compounded for rural hospitals. | | | | preparedness guidelines as well. Joint Commission |
| Despite the fact that many both inside and | | | | has repeatedly chosen to "partner with hospitals" |
| outside hospital leadership believe that rural | | | | rather than "punish" the recalcitrant faculties who |
| hospitals are at lower risk and thus require less | | | | repeatedly delay and curtail preparedness efforts. |
| commitment to preparedness, the truth is quite | | | | Joint Commission accreditation is a powerful force |
| the opposite. | | | | for change in hospital healthcare. The current |
| "The focus of emergency preparedness has been | | | | tendency of hospitals to do as little as possible as |
| on urban areas in part because of the perceived | | | | slowly as possible necessitates that Joint |
| increased risk of terrorism in these areas. | | | | Commission enforce the original preparedness |
| However, there is a danger associated with | | | | compliance deadline in January of 2009 rather than |
| neglecting rural areas. Indeed, one might argue | | | | permitting yet another extension. |
| that rural areas may be even more vulnerable to | | | | Perhaps the best thing everyone in healthcare |
| a terrorist attack. Many nuclear power facilities, | | | | oversight and leadership can say to the American |
| hydroelectric dams, uranium and plutonium storage | | | | people is: |
| facilities, and agricultural chemical facilities, as well | | | | "We're Sorry and We Will Do Better! |